Provider Demographics
NPI:1427812312
Name:PREFERRED PARTNERS BEHAVIORAL HEALTH MANAGEMENT LLC
Entity type:Organization
Organization Name:PREFERRED PARTNERS BEHAVIORAL HEALTH MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NKHONO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:682-320-8024
Mailing Address - Street 1:1506 W PIONEER PKWY STE 208
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-8204
Mailing Address - Country:US
Mailing Address - Phone:682-320-8024
Mailing Address - Fax:682-320-8029
Practice Address - Street 1:1506 W PIONEER PKWY STE 208
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-8204
Practice Address - Country:US
Practice Address - Phone:682-320-8024
Practice Address - Fax:682-320-8029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty